Organization Active NPI

Robert J Lee DDS PLLC

  • Customized Equipment (DME)
  • Bellevue, WA
National Provider Identifier
1487303541
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ROBERT J LEE DDS PLLC
Practice address
1370 116TH Ave NE Ste 106
Bellevue, WA 98004-3831
Phone
(425) 244-2322
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Lee, DDSNPI 1770897829
Title
Dentist / Owner
Phone
(425) 244-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1370 116TH Ave NE Ste 106
Bellevue, WA 98004-3831

Mailing address

21616 76TH Ave W Ste 109
Edmonds, WA 98026-7512

National Provider Directory

National Provider Directory

Locations

1370 116th Ave NE
Ste 106
Bellevue, WA 98004
Phone (206) 774-0747

21616 76th Ave W
Ste 109
Edmonds, WA 98026
Phone (206) 973-0877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1487303541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W STE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE STE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043831",
            "telephone_number": "425-244-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J LEE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "425-244-2322",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.